Self-Directed Services

Self-Directed Services puts you in charge of your care. Recruiting, hiring, training, scheduling, and dismissing your care workers is up to you. We support your choices and actions. Certain care models change the level of responsibility and control you have to manage your care. Here are the models, how they work, and where they are offered:

Fiscal / Employer Agent (F/EA) Services – Fiscal / Employer Agent model services (also known as F/EA) provides you with the greatest amount of flexibility and control, but also the most responsibility. You have complete authority to manage your care workers and some authority on how you spend your personal care budget such as determining care worker’s wages and choosing services. We process payroll tasks such as withholding taxes and distributing paychecks to your workers. We also assist with skills training and helping you to manage your personal care budget.

Available in Arizona, Florida, Idaho, Missouri, New Mexico, Texas, and Wisconsin.

Agency With Choice Services – The Agency with Choice or Co-Employment model is similar to F/EA. You have authority to manage your care workers, but your personal care budget is set according to the personal care services you are eligible to receive. We determine care worker’s wages and process payroll tasks such as withholding taxes and distributing paychecks to your workers.

Available in Alaska, Arizona, Idaho, Montana, Nevada, New Mexico, and Wisconsin.

Consultant / Support Broker Services – Consultant or Support Brokerage services offers you assistance with navigating programs, paperwork, budget planning, and counseling (usually in a Fiscal / Employer Agent program).

Available in Montana, Nevada, and New Mexico.

Self-Directed Services “Hybrids” – We partner with you to manage your care workers. You are involved with recruiting, selecting, and training your care workers. We are responsible for the hiring, dismissing, and paying of your care workers. We are also responsible for processing payroll tasks such as withholding taxes and distributing paychecks to your workers.

Available in Arizona and Montana.